Coding and coverage · ICD-10-CM

N17

N17.0 Acute kidney failure with tubular necrosis

BillableNo payment HCCChapter 14

Instructional notes

Chapter 14

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Section N17-N19

Excludes2Not included here: the patient may have both; report both when both are present.
  • congenital renal failure (P96.0)
  • drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)
  • extrarenal uremia (R39.2)
  • hemolytic-uremic syndrome (D59.3-)
  • hepatorenal syndrome (K76.7)
  • postpartum hepatorenal syndrome (O90.41)
  • posttraumatic renal failure (T79.5)
  • prerenal uremia (R39.2)
  • renal failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • renal failure following labor and delivery (O90.41)
  • renal failure postprocedural (N99.0)

N17

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • posttraumatic renal failure (T79.5)
Code also
  • associated underlying condition

This code

Inclusion terms
  • Acute tubular necrosis
  • Renal tubular necrosis
  • Tubular necrosis NOS

Chapter 14: Diseases of the genitourinary system · N17-N19 Acute kidney failure and chronic kidney disease (N17-N19)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.